COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC.
COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1851405765, based in San Diego, CA. The organization lists 4 taxonomy classifications, with Child & Adolescent Psychiatry Physician recorded as primary.
Getting there
The practice address on file is 12520 HIGH BLUFF DR SUITE 120, San Diego, CA 92130. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| G64571 | CA | Child & Adolescent Psychiatry Physician primary |
| PSY 20859 | CA | Clinical Psychologist |
| LCS 21909 | CA | Clinical Social Worker |
| LCS18331 | CA | Clinical Social Worker |
| LCS 17640 | CA | Clinical Social Worker |
| LCS 21666 | CA | Clinical Social Worker |
| LCS 18149 | CA | Clinical Social Worker |
| MFC 24183 | CA | Marriage & Family Therapist |
| MFC 19749 | CA | Marriage & Family Therapist |
| MFC 41302 | CA | Marriage & Family Therapist |
| MFC 35861 | CA | Marriage & Family Therapist |
This provider holds licence G64571 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Child & Adolescent Psychiatry covers
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NUCC Health Care Provider Taxonomy, code 2084P0804X
All registered taxonomy codes
This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084P0804X | Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry | G64571 | CA | primary |
| 103TC0700X | Clinical Psychologist Clinical | PSY 20859 | CA | |
| 1041C0700X | Clinical Social Worker Clinical | LCS 21909 | CA | |
| 1041C0700X | Clinical Social Worker Clinical | LCS18331 | CA | |
| 1041C0700X | Clinical Social Worker Clinical | LCS 17640 | CA | |
| 1041C0700X | Clinical Social Worker Clinical | LCS 21666 | CA | |
| 1041C0700X | Clinical Social Worker Clinical | LCS 18149 | CA | |
| 106H00000X | Marriage & Family Therapist | MFC 24183 | CA | |
| 106H00000X | Marriage & Family Therapist | MFC 19749 | CA | |
| 106H00000X | Marriage & Family Therapist | MFC 41302 | CA | |
| 106H00000X | Marriage & Family Therapist | MFC 35861 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1851405765 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 18, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
12520 HIGH BLUFF DR SUITE 120 San Diego, CA 92130 (858) 405-4423 Fax (858) 581-5788 |
| Mailing address |
1959 GRAND AVE SUITE A San Diego, CA 92109 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 5 | 1 | 4 | 0 | 5 | 7 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 1 | 1 | 8 | 0 | 1 | 7 | 3 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.